| NPI | 1083914089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor (Licence: 000000) |
| 225700000X Massage Therapist (Licence: IL 227006516) | |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2022-03-23 |